Active NPI
Jan-Mario Dejean, M.D.
- Emergency Medicine Physician
- South Miami, FL
National Provider Identifier
1952489296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0062955
- Practice address
- 7031 SW 62ND Ave
Emergency Room
South Miami, FL 33143-4701 - Phone
- (305) 284-7600
- Fax
- (305) 284-7607
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0062955 | FL | Primary |
Addresses
Primary practice location
7031 SW 62ND Ave
Emergency Room
South Miami, FL 33143-4701
Mailing address
305 NE 148TH St
North Miami, FL 33161-2052
Phone (305) 284-7655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0062955 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Radiological Services PC | Past | Accepting new patients | |
| CMC Radiological Services PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Elmhurst, NY
- NPI 1093851990
-
- Diagnostic Radiology Physician
- Jamaica, NY
- NPI 1285780502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952489296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE 148TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331612052",
"telephone_number": "305-284-7655",
"fax_number": "305-284-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7031 SW 62ND AVE",
"address_2": "EMERGENCY ROOM",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434701",
"telephone_number": "305-284-7600",
"fax_number": "305-284-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJEAN",
"first_name": "JAN-MARIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0062955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.